Changes of the morphology and apparent diffusion coefficient value for myometrium and junctional zone in endometrial fibrosis
10.3969/j.issn.1002-1671.2024.08.021
- VernacularTitle:子宫内膜纤维化的肌层和结合带形态及表观扩散系数值变化
- Author:
Ke MA
1
;
Hui ZHU
;
Nan ZHOU
;
Huanhuan WANG
;
Peipei JIANG
;
Qing HU
;
Yongjing FENG
;
Yali HU
;
Zhengyang ZHOU
Author Information
1. 南京大学医学院附属鼓楼医院医学影像科,江苏 南京 210008
- Keywords:
magnetic resonance imaging;
endometrial fibrosis;
myometrium;
junctional zone;
noninvasive assessment
- From:
Journal of Practical Radiology
2024;40(8):1312-1315
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the changes of the thickness of myometrium(MT),apparent diffusion coefficient value of myometrium(ADCM),thickness of junctional zone(JZT)and apparent diffusion coefficient value of junctional zone(ADCJz)in patients with endometrial fibrosis.Methods A total of 59 patients with endometrial fibrosis and 34 healthy women(volunteer)of childbearing age were prospectively included.The JZT,ADCJz,MT and ADCM were measured.Independent samples t-test was used to compare the differences in JZT,ADCJZ,MT,and ADCM between the two groups.A combined prediction model was established using binary logistic regression analysis(combining mean JZT,mean ADCJZ,and mean MT).The efficiency of each parameter's mean value and the combined prediction model in diagnosing endometrial fibrosis was evaluated using the receiver operating characteristic(ROC)curve.Results JZT(anterior wall,posterior wall,fundus and mean;P=0.007,0.035,0.001 and＜0.001,respectively),ADCJZ(anterior wall,posterior wall,fundus and mean;all P＜0.001)and MT(anterior wall,posterior wall and mean;P=0.003,＜0.001 and 0.003,respectively)were significantly larger in patients with endometrial fibrosis compared to volunteer.Mean ADCJZ[area under the curve(AUC)=0.872]and the combined prediction model(AUC=0.953)had high value for diagnosing endometrial fibrosis.Conclusion MRI can be used for noninvasively assessing the changes of myometrium and JZ in patients with endometrial fibrosis.
